Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,698.24 / $4,073.80	Facility		$204.17	$1,698.24	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $501.19	Professional		$79.43	$181.97	$501.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $630.96	Professional		$79.43	$104.71	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $346.74	Professional		$87.10	$177.83	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $436.52	Professional		$181.97	$204.17	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $5,888.44	Facility		$165.96	$549.54	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $194.98 / $512.86	Professional		$81.28	$194.98	$512.86